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Overview

Whether you are looking for a midface or mandibular reconstructive solution or an implant to address aesthetic needs, our iD Solutions Facial iD portfolio is designed to provide personalized results for your patient. Implants are individually designed with your patient's CT data while you drive the artistry of the implant during a design session with a Design Engineer. Implants are available in a variety of materials depending on anatomical location, including MEDPOR, PEEK and titanium. Provide your patients with an exceptional anatomical fit and enhanced aesthetic results.

Portfolios:

Aesthetic

Our MEDPOR patient specific implants allow you to create the ideal implant design for your patient’s midface or mandible aesthetic needs. During an online interaction with our engineers, you’ll be able to determine the height, width, projection and overall shape of the implant.

Reconstruction:

Patient specific titanium plates are manufactured to the planned patient outcome, eliminating the time needed for intra-operative adaptation. Plot the location of every screw hole, select the profile height and bar width, and create a reconstruction plate to meet your patients’ needs.

In collaboration with 3D Systems, Virtual Surgical Planning (VSP) can be used to further enhance your patient outcomes.

Midface reconstruction

Within our Facial iD portfolio we offer MEDPOR and PEEK materials for midface reconstruction. Each has a well-established history of surgical use, and offers you the flexibility to address your patient’s specific needs. If the procedure requires more detailed design input, you can take part in a online design session with our engineers and map out the exact placement, projection, and other aspects of the implant to match the needs of your patient.

Clinical evidence

Abstract

The purpose of this paper was to analyze the biomechanical performance of customized mandibular reconstruction plates with optimized strength. The best locations for increasing bar widths were determined with a sensitivity analysis. Standard and customized plates were mounted on mandible models and mechanically tested. Maximum stress in the plate could be reduced from 573 to 393 MPa (−31%) by increasing bar widths. The median fatigue limit was significantly greater (p < 0.001) for customized plates (650 ± 27 N) than for standard plates (475 ± 27 N). Increasing bar widths at case-specific locations was an effective strategy for increasing plate fatigue performance.

Abstract

Background:

Virtual surgical planning (VSP) has contributed to a number of technical innovations in mandible reconstruction. We report on these innovations and the overall evolution of mandible reconstruction using free fibula flaps at our institution.

Methods:

We performed a retrospective chart review of all patients who underwent virtually planned free fibula flap reconstruction of the mandible. Comparisons were made between cohorts based on distinct eras related to the virtual planning approach.

Results:

Seventy-six patients underwent a total of 78 VSP-assisted mandible reconstructions with free fibula flaps. Significant differences were noted among the groups with regard to mean number of segments, percentage of flaps that had at least 3 segments, percentage of flaps that had double-barrel components, and innovations per flap.

A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. Stryker does not dispense medical advice and recommends that surgeons be trained in the use of any particular product before using it in surgery.

The information presented is intended to demonstrate the breadth of Stryker's product offerings. A surgeon must always refer to the package insert, product label and/or instructions for use before using any of Stryker's products. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your sales representative if you have questions about the availability of products in your area.

Stryker Corporation or its divisions or other corporate aff iliated entities own, use or have applied for the following trademarks or service marks: Adherus, Colorado, Cranial iD, DirectInject, Facial iD, Hoffman II, Hybrid MMF, HydroSet, iD Solutions, Leibinger, MEDPOR, Multi-Guide II, SMARTLock, Stryker, TruForm, Universal 2, Universal Neuro, VSP. All other trademarks are trademarks of their respective owners or holders.

Adherus and Adherus ET are the only FDA-approved hydrogel dural sealant with a patent pending AutoSpray applicator with internal air pump. Manufactured by HyperBranch Medical Technology, Inc., a subsidiary of Stryker, located in Durham, North Carolina USA.

Durepair is a registered trademark of TEI Biosciences Inc.DuraGen is a registered trademark of Integra Lifesciences CorporationDuraMatrix-Onlay PLUS and DuraMatrix Suturable are trademarks of Collagen Matrix, Inc.DuraMatrix-Onlay and DuraMatrix are registered trademarks of Collagen Matrix, Inc.DuraMatrix-Onlay PLUS, DuraMatrix Suturable, DuraMatrix-Onlay and DuraMatrix are manufactured by Collagen Matrix, Inc., Oakland, New Jersey USA.